S Rebecca Kershaw is a Clinical in Gulfport, Mississippi. S Rebecca Kershaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for S Rebecca Kershaw is 1750317459. The last update date is 2007-07-08.
S Rebecca Kershaw's current location address is 1457 Georgia Pl, Gulfport, Mississippi. You can contact this provider via phone number 2283763648 and fax number 2283776427. The mailing address for S Rebecca Kershaw is 1457 Georgia Pl, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | S Rebecca Kershaw |
|---|---|
| Address | 1457 Georgia Pl, Gulfport, Mississippi |
| Phone Number | 2283763648 |
| Fax Number | 2283776427 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1750317459 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1457 Georgia Pl |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395071434 |
| Phone Number | 2283763648 |
| Fax Number | 2283776427 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 354 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to S Rebecca Kershaw?
The S Rebecca Kershaw has been issued the NPI (National Provider Identifier) 1750317459 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where S Rebecca Kershaw is located?
The S Rebecca Kershaw is situated at the following address: 1457 Georgia Pl, Gulfport, MS, 395071434.
What is S Rebecca Kershaw's specialized field of practice, and what is the corresponding taxonomy classification code?
The S Rebecca Kershaw's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750317459 to S Rebecca Kershaw?
The Centers for Medicare & Medicaid Services originally issued the 1750317459 to S Rebecca Kershaw on 2006-06-24.
When was the S Rebecca Kershaw's information last updated?
The S Rebecca Kershaw's information was last updated on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH